![]() Why don't SLPs have time units like the PT/OT codes? See also: The Right Time for Billing Codes Ultimately, the decision to bill a code depends on the clinician’s judgement and documentation to support that the time spent with the patient was medically necessary and clinically appropriate for that patient on that day. However, there are no hard and fast rules regarding time "minimums" for untimed codes. These underlying "typical" times may be used as guidelines. These typical times are located in what's called the Physician Time File, which is publicly available through the Centers for Medicare & Medicaid Services (CMS). These times are derived from surveys of speech-language pathologists that ASHA conducts in conjunction with the American Medical Association. However, untimed codes do have any underlying "typical" time associated with each code. Ultimately, it will come down to the judgment of the clinician and whether he/she feels they can make progress with the patient during the evaluation or treatment session, whatever the amount of time may be. ASHA would have to present evidence that the services are different in terms of the time it takes to perform the service, the level of technical skill, the physical effort, the required mental effort and judgment, and the stress due to the potential risk to the patient.Īre there any guidelines or data available on what constitutes the typical time allowed for a speech-language pathology session?ĭetermining what might be considered a "typical" for an untimed code is difficult. If the treatment code (92507) is revised, the development of additional treatment codes that could address complexity of services would be considered at that time. Why can't "complexity" of care be accounted for in the codes?
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